Introduction:
ChatGPT 3.5, an advanced language model, has vast potential in the medical field. It streamlines clinical documentation by extracting essential information from patient records, enhancing accuracy and saving time. Acting as a virtual assistant, ChatGPT 3.5 supports patients with medication, diagnosis, and treatment inquiries, reducing the burden on medical staff. Medical students can utilize ChatGPT 3.5 to learn and practice physiology, anatomy, and disease concepts. However, certain domain knowledge requires verification. Hence, we tested ChatGPT 3.5's performance specifically in the obesity field.

Methods:
We assessed ChatGPT 3.5's responses to four question types: proprietary definition, body composition and lab data explanation, treatment suggestions, and detecting dangerous signs. Medical experts evaluated the answers on a scale of 0 (unacceptable or didn't answer the question) to 5 (perfect answer), considering quantity and quality.

Results:
ChatGPT 3.5 performs well in general obesity definitions but struggles with local definitions, as it lacks country-specific data training. Single abnormalities within lab data are explained satisfactorily, but ChatGPT 3.5 becomes confused when faced with multiple abnormalities. Furthermore, it lacks the ability to identify incorrect lab results. Treatment advice received a high score for general recommendations, but its inability to address medication usage led to lower scores. ChatGPT 3.5 can easily detect dangerous signs when given simple symptoms, but struggles with more complex symptoms, addressing each symptom-disease pair individually without considering the overall picture.

Discussion and conclusion:
ChatGPT 3.5 demonstrated proficiency in several areas but requires improvement in local definitions, addressing multiple abnormalities comprehensively, providing medication information, and considering broader symptom contexts. Notably, it correctly informs users of its limitations and avoids generating incorrect answers, an improvement from previous versions. In conclusion, while ChatGPT 3.5 showcases competence, enhancements are necessary for optimal performance in various aspects of the medical domain.

Background
Postmenopausal women, who constitute a large population in South Korea, experience various menopausal symptoms in different ways. Menopausal symptoms reduce the quality of life (QOL) of postmenopausal women, and their health-related QOL(HRQOL) has been widely studied in relation to health problems that occur following menopause; however, changes in the HRQOL with increased postmenopausal duration has not been specifically studied. This study aimed to evaluate the relationship between menopause duration and HRQOL in postmenopausal women.

Methods
Among 9,766 women aged 40–69 years who participated in the 7th and 8th National Health and Nutrition Examination Surveys between 2016 and 2020; 3,487 who had not been diagnosed with cancer and were in natural menopause without hormone treatment were selected for the study. The independent variable, menopause duration, was calculated as (current age–age at menopause) and categorized into "< 2 years," "2-5 years," "6–10 years," and " > 10 years." The dependent variable, i.e., QOL, was measured using the European quality of life-5 dimension (EQ-5D) score.

Results
A longer duration of menopause was associated with older age, lower education, and a higher prevalence of chronic diseases. The EQ-5D scores significantly varied according to the duration of menopause (p<0.001), and a longer duration of menopause was associated with a lower QOL. The exercise capacity, self-care, daily activities, pain/discomfort, and anxiety/depression showed significant differences. Upon adjusting for variables that showed significant differences in the QOL, the QOL was significantly lower for the duration of menopause > 10 years than for < 2 years.

Conclusion
In the present study, a significant decline in the QOL was observed in the group with the longest postmenopausal period, suggesting that the duration of menopause is an important factor inversely affecting women's QOL. Active interventions on modifiable factors identified in previous studies are warranted to improve the QOL.

Nonviolent communication (NVC) is much more than a communication technique. It is a way to be present in the world in a way that promotes connection and growth on three levels: personal, interpersonal and systemic. NVC was established by Marshall Rosenberg, a psychologist from the humanistic approach frustrated by how mental health diagnoses limitate individuals and aims to promote connection and life by focusing on feelings and needs mostly. NVC and Patient-Centered Clinical Method (PCCM) come from the same roots, person-centered therapy. So, a primary care professional who applies NVC in clinical practice promotes the four PCCM components by empathic listening and speaking. Rogerio Barreto has been facilitating groups for 10 years and studying and facilitating NVC for 6 years, providing six workshops in primary care settings, two workshops in family medicine conferences and one in a health literacy conference, and eight online events. Rogerio Barreto also co-wrote a book chapter on NVC and health literacy for a Brazilian medical book. Breanda Costa is a family doctor for six years and tutors family resident doctors. The skill-building session will be organized in those moments: Presentation and expectations alignment; Jo Hari window activity; what is nonviolence and its relation to primary care and health system; listening exercise in three different ways (deepening the empathic listening level); discussion on NVC principles and components by a clinical case; difficult cases´ dramatization and NVC approach on that cases; group discussion on barriers in real life work that difficult NVC practice and what can be done in individual, interpersonal and systemic level. At the end, participants will have a plan to tackle down barriers and a supportive network for NVC practice, as well be more aware to detect how violence is expressed in our health system

1. Identify the 4 main components of interpersonal nonviolent communication presented in clinical care
2. Apply nonviolent principles in personal, interpersonal and systemic level
3. Build a plan and supportive network to sustain a nonviolent practice

During the 9th Global Conference on Health Promotion, Health Literacy (HL) was nominated one of the most important factors in health promotion in this century. HL can be described as the ability to access, evaluate, comprehend and apply health information to maintain or improve health status. Also, HL can be understood as an alignment between health information producers and recipients. In a fast-paced society where information is produced at enormous levels, among fake news, health literacy is a key factor in advancing health promotion. For that, health professionals must create information accessible and easy to understand, align with HL principles and change promoter. Two recent ways to create health materials are the Clear Communication Index from the Center for Disease Control and load analysis proposed by a research group and based on a broader HL approach. Rogerio Barreto has been studying HL for 10 years and has a master's in Public Health on the subject, orientating a family medicine conclusion work in HL and co-founding Brazilian Network on Health Literacy. Rogerio Barreto co-organized the two Brazilian Health Literacy Conferences and provided workshops in family medicine conferences on HL. Brenda Costa is a family doctor for six years who applies health literacy principles in her practices and tutors family medicine residents. The session will begin with a presentation and expectation alignment, icebreaking activity, HL concept and main frameworks, the two HL guidelines in constructing health materials, two study cases from health materials, group work to assess and adapt a health material, final discussion on the activity and how to implement the guidelines. Participants will have access to the guidelines and will have a plan to apply them in real life contexts. HL is a mandatory knowledge to adavance healthcare systems.

1. Apply 2 health literacy guidelines in creating health materials or campaigns
2. Design health materials alligned with health literacy guidelines
3. Assess health materials regarding its health literacy level